$12,305.45–$13,976.83
Choose 27279 for devices placed across the SI joint; 27278 describes intra-articular device placement.
On this page
CMS RVU26D · Effective 2026-10-01
27279 SI joint fusion Medicare reimbursement rates in Georgia
Reports minimally invasive sacroiliac joint fusion using device placement across the joint, with image guidance included when performed. Compare 27279 office and facility rates across CMS payment localities in Georgia.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 27279 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$745.54–$781.72
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Orthopedic surgery
About 27279: Minimally invasive SI joint fusion
Reports minimally invasive sacroiliac joint fusion using device placement across the joint, with image guidance included when performed.
The surgeon accesses the sacroiliac joint through a percutaneous or minimally invasive approach and places one or more devices across the joint to promote fusion. Orthopedic and spine surgeons commonly perform this procedure in an operating room for patients with sacroiliac joint pain or dysfunction. Image guidance used to position the devices is part of the service described by this code.
Select this code when the operative method places devices transarticularly across the SI joint; document the approach, side, implant placement, and imaging used. For bilateral procedures, CMS applies modifier 50 and pays 150%. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 27279
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral procedure with modifier 50 is paid at 150%.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.83 · 52%
- Practice expense (office) RVU8.26 · 36%
- Malpractice RVU2.62 · 12%
11.5K
Medicare services in 2024 · #1401 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
27279 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
27280 describes open SI joint arthrodesis. This code is for a percutaneous or minimally invasive device-based approach.
27299
No office rateUnlisted px pelvis/hip joint
Use 27299 only when the performed pelvis or hip joint procedure is not represented by a specific code such as 27279.
Compare 27279 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$781.72
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$745.54
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27279 billing questions
How does this differ from 27278?
This code describes devices placed across the SI joint. Code 27278 is the sibling code for placement of intra-articular devices.
Is image guidance separately reported?
Image guidance used for device placement is included in this service when performed.
How should bilateral SI joint fusion be reported?
CMS recognizes modifier 50 for bilateral reporting and pays the bilateral procedure at 150%.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation.
What supports reporting this code?
Document the minimally invasive approach, the SI joint treated, transarticular device placement, and any image guidance used.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
2,81727269,,Optx thigh fx,A,,18.42,11.26,NA,11.26,,3.89,33.57,33.57,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81827275,,Manipulation of hip joint,A,,2.26,2.63,NA,2.63,,0.46,5.35,5.35,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,81927278,,Arthrd si jt plmt iartic dev,A,,7.66,403.30,,4.64,,0.85,411.81,13.15,0,090,0.10,0.69,0.21,2,1,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82027279,,Arthrd si jt plmt tartclr dv,A,,11.83,8.26,NA,8.26,,2.62,22.71,22.71,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82127280,,Arthr si jt opn b1grf instrm,A,,19.50,12.89,NA,12.89,,6.04,38.43,38.43,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82227282,,Arthrodesis symphysis pubis,A,,11.55,10.03,NA,10.03,,2.47,24.05,24.05,0,090,0.10,0.69,0.21,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
2,82327284,,Arthrodesis hip joint,A,,24.43,13.38,NA,13.38,,5.19,43.00,43.00,0,090,0.10,0.69,0.21,2,1,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00